尿路结石腔内手术后尿源性脓毒血症的防治方法及效果观察  

Observation of treatment method of urine derived sepsis and its effect of urinary calculi cavity after operation

作　　者：张朝贤[1] 黄宇珞[1] 郑周达[1] 林天旗[1] 刘洪杰[1] 杨明根[1] 

机构地区：[1]福建医科大学附属漳州市医院泌尿外科,福建漳州363000

出　　处：《中国医学工程》2015年第11期12-13,共2页China Medical Engineering

摘　　要：目的探讨尿路结石腔内手术后尿源性脓毒血症的临床防治方法及其防治效果。方法对在笔者所在医院接受诊治的70例尿路结石腔内手术后并发尿源性脓毒血症患者相关资料进行分析,根据患者不同防治方法将其分为两组,对照组采用常规方法防治,试验组采用亚胺培南西司他丁药物治疗并进行针对性预防,比较两组防治效果。结果试验组94.3%患者对防治效果给予肯定评价,高于对照组的82.9%(P<0.05);试验组94.3%对防治方法满意,高于对照组(P<0.05)。结论尿路结石腔内手术后尿源性脓毒血症发生率较高,手术后进行针对性的预防并早期、足量应用亚胺培南西司他丁、及时解除合并因素等治疗效果理想,值得临床推广。【Objective】To investigate the clinical prevention and treatment method of urine derived sepsis urinary calculi cavity after operation and its control effect.【Methods】In our hospital to accept the diagnosis and analysis of relevant data of urinary derived sepsis in 70 patients with urinary calculi after endoscopic treatment, according to patients with different control methods can be divided into two groups, the control group using conventional methods of prevention and treatment, the experimental group adopted Ya Anpei cilastatin drug therapy and targeted prevention and control effect of the two groups were compared.【Results】the experimental group of 94.3% patients with positive evaluation of the control effect, higher than that of the control group（82.9%）（P〈0.05）; experimental group of 94.3% on the control methods of satisfaction, higher than that of the control rate,group（P〈0.05）.【Conclusion】Urinary tract stones cavity after surgery urinary sepisis occurrd at a higher rate, postoperative targeted prevention and the using of adequate Ya Anpei cilastatin at the forepart and relieving complication are effective,it is worthy to be popularized.

关 键 词：尿路结石腔内手术 尿源性脓毒血症 防治方法 

分 类 号：R691.4[医药卫生—泌尿科学]